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Published in: Osteoporosis International 11/2023

Open Access 07-07-2023 | Osteoporosis | Original Article

Development, implementation and evaluation of a multinational FLS mentorship programme in Latin America

Authors: M. Kassim Javaid, M. Calo, S. Wullich, Z. Mohsin, E. Castro Osorio, A. Medina Orjuela, C. Arteaga Unigarro, L. Mendez-Sanchez, J. Torres Naranjo, L. Tikle Vieira, K. Kuraoka Tutiya, A. Manoel Inacio, A. Olascoaga-Gomez de Leon, J. Carlos Viveros García, C. Habib, F. Subies, J. P. Guyot, M. Diehl, G. Carabelli, A. Soulie, C. Cooper

Published in: Osteoporosis International | Issue 11/2023

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Abstract

Summary

Realising the benefits of systematic secondary fracture prevention requires supporting local sites to get started and becoming effective. We here describe the development, implementation and impact of a regional fracture liaison service (FLS) mentorship programme in Latin America that led to 64 FLS getting started and coverage of 17,205 patients.

Introduction

Despite treatments and service models to deliver effective secondary fracture prevention, most patients are left untreated after a fragility fracture. To improve the capability to get FLS started and more effective, we describe the development, implementation and evaluation of an international programme to develop national communities of FLS mentors as part of the Capture the Fracture Partnership in Latin America.

Methods

The IOF regional team and the University of Oxford developed the curriculum and associated resources for training mentors in setting up FLS, service improvement and mentorship. Mentors were selected during a preparatory meeting, trained using live online sessions followed by regular mentor-led post-training meetings. The programme was evaluated using a pre-training needs assessment and post-training evaluation based on Moore’s outcomes.

Results

The mentorship programme was initiated in Mexico, Brazil, Colombia and Argentina. The mentors were multidisciplinary, including orthopaedic surgery, rehabilitation, rheumatology, endocrinology, geriatrics, gynaecology and internal medicine. There was 100% participation in training sessions and reported satisfaction with the training. Since the initiation of the training programme, 22 FLS have been set up in Mexico, 30 in Brazil, 3 in Colombia and 9 in Argentina, in comparison with two in Chile and none in any other LATAM countries that were not involved in the mentorship programme. This equates to approximately 17,025 additional patients identified from 2019 to 2021 after initiation of mentorship. The mentors have engaged with 58 FLS for service development. Post-training activities include two published national best practice guidelines and other country-specific resources for FLS in the local language.

Conclusion

Despite the COVID pandemic, the mentorship pillar of the Capture the Fracture Partnership has developed a community of FLS mentors with measurable improvement in national FLS provision. The programme is a potentially scalable platform to develop communities of mentors in other countries.
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Metadata
Title
Development, implementation and evaluation of a multinational FLS mentorship programme in Latin America
Authors
M. Kassim Javaid
M. Calo
S. Wullich
Z. Mohsin
E. Castro Osorio
A. Medina Orjuela
C. Arteaga Unigarro
L. Mendez-Sanchez
J. Torres Naranjo
L. Tikle Vieira
K. Kuraoka Tutiya
A. Manoel Inacio
A. Olascoaga-Gomez de Leon
J. Carlos Viveros García
C. Habib
F. Subies
J. P. Guyot
M. Diehl
G. Carabelli
A. Soulie
C. Cooper
Publication date
07-07-2023
Publisher
Springer London
Published in
Osteoporosis International / Issue 11/2023
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-023-06742-6

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